A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?
Notify the facility's risk management team.
Assess the client for a change in condition.
Place an incident report in the client's electronic medical record.
Administer an antidote before notifying the provider.
The Correct Answer is B
A. While it may be necessary to notify risk management eventually, the immediate priority is to ensure the client's safety and well-being.
B. The nurse should promptly assess the client for signs and symptoms of an allergic reaction and initiate appropriate interventions as necessary.
C. Documentation of the medication error and allergic reaction should be completed after ensuring the client's immediate needs are addressed.
D. Administering an antidote may be appropriate in certain situations, but the nurse should first assess the client's condition and follow established protocols for managing allergic reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Hypocalcemia can lead to paresthesia, including tingling sensations around the lips.
B. Abdominal distention is not typically associated with hypocalcemia.
C. Hypocalcemia can result in a positive Trousseau's sign, where carpal spasm is induced by inflating a blood pressure cuff above the systolic pressure for a few minutes.
D. Chvostek's sign is typically positive in hypocalcemia, not negative.
E. Hypocalcemia can cause muscle cramps due to increased neuromuscular excitability.
Correct Answer is A
Explanation
A. Tuberculosis is an airborne infection, requiring airborne precautions to prevent transmission.
B. Pneumonia is typically transmitted through respiratory droplets and does not require airborne precautions.
C. Shigella is transmitted through the fecal-oral route and does not require airborne precautions.
D. Strep throat is typically transmitted through respiratory droplets and does not require airborne precautions.
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